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• W3033621323 abstract "Clinical efficacy and safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) has been recently reported in patients who are not candidare for cholecystectomy. However, no sufficient data was revealed regarding the factors associated with recurrent cholecystitis after EUS-GBD. Clinical efficacy and safety of conversion from percutaneous transhepatic gallbladder drainge (PTGBD) to EUS-GBD has been reported in non-surgical candiateds. The aim of this study was to identify the factors for recurrent cholecystitis in patients after EUS-GBD from PTGBD. We retrospectively reviewed the hospital medical records and endoscopy reports of patients who underwent EUS-GBD between January 2015 to October 2019 at our hospital. In our strategy of acute cholecystitis in patients with unresectable maligancies, every patient underwent PTGBD as initial drainage and then converted to EUS-GBD for patient requiring permanent drainage and persuing internalization. The patient data were collected for the following information: patient demographics, outcomes including technical success, clinical success and the rate of recurrent cholecystitis. The patietns were divided into two groups according to the period from PTGBD to EUS-GBD: shorter duration group (n=12, period ≤ 8 days) and longer duration group (n=14, period > 8days). We analyzed the differences between patients with or without recurrent cholecystitis. 30 cases with conversion from PTGBD to EUS-GBD were identified. Technical success rate was 100% (30/30) and Clinical success rate was 93.3% (28/30). The rate of recurrent cholecystitis was 14.3% (4/28). There were no significant differences between the two groups with respect to age, gender, approach (transgastric vs. transduodenal), stent type (self-expandable metallic stent vs. plastic stent) and severity. However, the shorter duration group had significantly higher rate of recurrent cholecystitis compared with the longer duration group (33.3% vs. 0%, P=0.003). Furthermore, in all patients who recurred cholecystitis, the conversion period from PTGBD to EUS-GBD was ≤ 6 days. Our study suggests that the shorter period from PTGBD to EUS-GBD might have some association with higher incidence of recurrent cholecystitis." @default.
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• W3033621323 date "2020-06-01" @default.
• W3033621323 modified "2023-09-23" @default.
• W3033621323 title "Su1275 FACTORS ASSOCIATED WITH RECURRENT CHOLECYSTITIS AFTER EUS-GBD FOR ACUTE CHOLECYSTITIS IN PATIENTS WITH UNRESECTABLE MALIGNANCIES" @default.
• W3033621323 doi "https://doi.org/10.1016/j.gie.2020.03.2121" @default.
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